National Provider Identifier Database

ALEKO KIMBOURIS, PA-C – NPI #1518195593
Surgical


Contact Information

ALEKO KIMBOURIS, PA-C
164 SUMMIT AVE
PROVIDENCE, RI02906
Phone: 401-793-4102
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for ALEKO KIMBOURIS

NPI Number 1518195593
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/29/2009
Last updated 10/03/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • RI License #: PA01159
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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